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Article contents
The role of narrow-band imaging in parathyroid surgery: a preliminary evaluation in five parathyroid adenoma cases
Published online by Cambridge University Press: 18 October 2019
Abstract
Background
Narrow-band imaging uses selective haemoglobin light absorption to emphasise vascular visualisation and capillary networks.
Objective
This study aimed to evaluate the application of this technique to parathyroid surgery.
Method
This preliminary evaluation was carried out on five consecutive patients with single parathyroid adenoma being considered for minimally invasive video-assisted parathyroidectomy. The adenomas were checked for narrow-band imaging vascular patterns. Minimally invasive video-assisted parathyroidectomy was then carried out in accordance with our standard protocol.
Results
In four out of the five cases, narrow-band imaging integrated the white endoscopic light and direct vision, but in one case narrow-band imaging allowed distinction between the hidden neoplastic tissue and the surrounding structures thanks to the different vascular patterns.
Conclusion
Narrow-band imaging was helpful in properly identifying adenoma. It is suggested that this technique be considered as a means for surgeons to improve their confidence in selected surgical treatments and to improve treatment quality.
Information
- Type
- Short Communications
- Information
- Copyright
- Copyright © JLO (1984) Limited, 2019
Footnotes
Dr A M Bulfamante takes responsibility for the integrity of the content of the paper
References
1Zhou, F, Wu, L, Huang, M, Jin, Q, Qin, Y, Chen, J. The accuracy of magnifying narrow band imaging (ME-NBI) in distinguishing between cancerous and noncancerous gastric lesions: a meta-analysis. Medicine (Baltimore) 2018;97:e9780Google Scholar
2Sasanuma, S, Ohtsuka, K, Kudo, SE, Ogata, N, Maeda, Y, Misawa, M et al. Narrow band imaging efficiency in evaluation of mucosal healing/relapse of ulcerative colitis. Endosc Int Open 2018;9:518–23Google Scholar
3Ma, T, Chowdary, P, Eskander, A, Ellett, L, McIlwaine, K, Manwaring, J et al. Can narrowband imaging improve the laparoscopic identification of superficial endometriosis? A prospective cohort trial. J Minim Invasive Gynecol 2018;18:30261–9Google Scholar
4Inage, T, Nakajima, T, Yoshino, I, Yasufuku, K. Early lung cancer detection. Clin Chest Med 2018;1:45–5510.1016/j.ccm.2017.10.003Google Scholar
5Prada, F, Pipolo, C, Del Bene, M, Maccari, A, Saibene, AM. Narrow band imaging in giant pituitary adenoma surgery. Acta Neurochir (Wien) 2016;8:1621–3Google Scholar
6Verdelli, C, Avagliano, L, Creo, P, Guarnieri, V, Scillitani, A, Vicentini, L et al. Tumour-associated fibroblasts contribute to neoangiogenesis in human parathyroid neoplasia. Endocr Relat Cancer 2015;22:87–9810.1530/ERC-14-0161Google Scholar
7Gagner, M, Inabnet, WB. Endoscopic thyroidectomy for solitary thyroid nodules. Thyroid 2001;2:161–3Google Scholar
8Miccoli, P, Pinchera, A, Cecchini, G, Conte, M, Bendinelli, C, Vignali, E et al. Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism. J Endocrinol Invest 1997;7:429–30Google Scholar
9Sessa, L, Lombardi, CP, De Crea, C, Raffaelli, M, Bellantone, R. Video-assisted endocrine neck surgery: state of the art. Updates Surg 2017;2:199–204Google Scholar
10Carter, AB, Howanitz, PJ. Intraoperative testing for parathyroid hormone: a comprehensive review of the use of the assay and the relevant literature. Arch Pathol Lab Med 2013;11:1424–42Google Scholar